Organization
EL REDENTOR MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LICETTE MALDONADO (PRESIDENT)
(787) 904-3404
Entity
Organization
Contact information
Practice address
5 CALLE CELIS AGUILERA, MANATI, PR 00674-5171
(787) 904-3404
(787) 854-9100
Mailing address
PO BOX 2338, MANATI, PR 00674-2338
(787) 904-3404
(787) 854-9100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
03/09/2011
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